Endothelial cellular stiffening has been determined not solely in inflamed genteel epithelium cells however conjointly within the epithelium of coronary-artery disease regions, that is AN underlying explanation for WBC adhesion and accumulation. though recombinant soluble thrombomodulin (rsTM) has been reportable to suppress the inflammatory response of epithelium cells, its role in control epithelium cellular stiffness remains unclear. the aim of this study was to research the impact of medicine rsTM on lipopolysaccharide (LPS)-induced epithelium cellular stiffening. we have a tendency to show that LPS will increase epithelium cellular stiffness by mistreatment atomic force research which rsTM reduces LPS-induced cellular stiffening not solely through the attenuation of simple protein fiber and focal adhesion formation however conjointly via the development of gap junction practicality. Moreover, post-administration of rsTM, once LPS stimulation, attenuated LPS-induced cellular stiffening. we have a tendency to conjointly found that epithelium cells regulate white blood cell adhesion during a substrate- and cellular stiffness-dependent manner. Our result show that LPSinduced cellular stiffening enhances monocytic THP-1 cell line adhesion, whereas rsTM suppresses THP-1 cell adhesion to inflamed epithelium cells by reducing cellular stiffness. epithelium cells increase cellular stiffness in reaction to inflammation, thereby promoting WBC adhesion. Treatment of rsTM reduced LPS-induced cellular stiffening and suppressed WBC adhesion during a cellular stiffness-dependent manner.